Mr. Brenton Paul Ezell
Social Worker
111 S 3rd Ave
Piggott
, Arkansas 72454-2634
Mr. Brenton Paul Ezell
Social Worker
111 S 3rd Ave
Piggott
, Arkansas 72454-2634
(870) 933-9395
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Mr. Brenton Paul Ezell
- 1815 Pleasant Grove Rd.
- Jonesboro, AR
- Zip : 72405-7870
- Fax : (870) 933-9395
- Phone : (870) 933-6886
Second Address
- Mr. Brenton Paul Ezell
- 111 S 3rd Ave
- Piggott, AR
- Zip : 72454-2634
- Fax : (870) 598-0328
- Phone : (870) 598-0306
Reviews
FAQs
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Is Mr. Brenton Paul Ezell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 11164-M | AR |
National Provider Identifier
| NPI | 1003225301 |
|---|---|
| Provider Name | Mr. Brenton Paul Ezell |
| First Address | Jonesboro, AR 72405-7870 |
| Second Address | Piggott, AR 72454-2634 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2014 |
| Last Update Date | 02/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 203630795 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.